netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Bisoprolol tablets
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Formulary
Green SA

Treatment of moderate to severe heart failure

Preferred-

 
   
Carvedilol tablets
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Formulary
Green SA

Adjunct in the treatment of heart failure

Preferred-

 
   
Sotalol
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Formulary
Green SI
Treatment of cardiac arrhythmias 
   
Atenolol tablets
(Hypertension & stable angina)
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Formulary
Preferred
 
   
Bisoprolol tablets
(Hypertension & stable angina)
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Formulary
Preferred
 
   
Nebivolol tablets
(Heart failure)
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Preferred
 
   
Labetalol tablets
(Hypertension & stable angina)
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Formulary
Second Line
In pregnancy 
   
Metoprolol
(Hypertension & stable angina)
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Formulary
Second Line

Adjunct in hyperthyroidism, arrhythmias

 
   
Propranolol
(Hypertension & stable angina)
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Formulary
Second Line
For hyperthyroid patients, patients with anxiety or increased sympathetic drive 
   
Esmolol
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Formulary
Red SO
Treatment of supraventricular arrhythmias and peri-operative tachycardia and hypertension
 
   
Labetalol injection
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Formulary
Red SO
Treatment of severe hypertension when rapid control of blood pressure is essential, anaesthesia when a hypotensive technique is indicated and hypertensive episodes following acute myocardial infarction
 
   
 ....
 Non Formulary Items
Acebutolol  (Sectral®)

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Non Formulary
Non Formulary
In all forms
 
Atenolol/Nifedipine combination  (Tenif®)

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Non Formulary
Black BL

Combination not cost-effective

Advice: Prescribe as separate ingredients.
Amlodipine preferred to nifedipine

 
Celiprolol

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Non Formulary
Non Formulary
In all forms
 
Co-tenidone
((Atenolol & chlortalidone))

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Non Formulary
Non Formulary

In all forms

 
Metoprolol LA
(All brands)

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Non Formulary
Non Formulary
 
Pindolol

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Non Formulary
Non Formulary
In all forms
 
Pindolol & Clopamide  (Viskaldix®)

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Non Formulary
Non Formulary

In all forms

 
Propranolol LA
(Cardivascular indication)

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Non Formulary
Non Formulary
 
Timolol

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Non Formulary
Non Formulary
In all forms
 
Timolol Maleate and Bendroflumethiazide  (Prestim®)

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Non Formulary
Non Formulary
In all forms
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Preferred

Clinicians are free to prescribe these drugs. They are regarded as cost effective choices which have evidence to support their use.  

Second Line

These drugs should only be prescribed in the scenarios described in the formulary after preferred drug(s) have been ruled out.  

Non Formulary

Non-formulary choice - the vast majority of a patient’s needs should be met by use of formulary preferred choices and second line options when appropriate. Therefore the Clinician should only use a non-formularly drug if this can be justified and it is recommended that all such instances are recorded in the patient record.  

Green SA

Specialist Advised – Specialists may simply advise a patient’s GP to initiate these drugs themselves after they have made an initial assessment. Note: SA drugs can be initiated by the specialist according to patient need and also depending on local commissioning arrangements which may mandate, through the contract between provider and commissioner, that all SA drugs are treated as SI.  

Green SI

Specialist Initiation - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patient’s GP following communication from the specialist.  

Amber SC

Shared Care - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

Red SO

Specialist Only - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Black BL

Black Listed Medicines - These drugs are considered inappropriate for prescribing in Coventry & Warwickshire as they are either not cost-effective or of proven benefit or both.   

Not Recommended

Not Recommended - These are specialist drugs that are not recommended for use.  

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